Registered Nurse (RN) Team Lead Medical Surgical M/S Med Surg Ortho (FT/Nights)

Texas Health Huguley Hospital Fort Worth South
Operated as a joint venture between Texas Health Resources and Adventist Health System, we believe that total health is achieved through a balance of physical, mental, social and spiritual well-being. With each patient's unique circumstances in mind, our multi-disciplinary care teams provide a vast array of services, combining state-of-the-art technology with a personal commitment to creating an exceptional patient experience.
Our team members also enjoy outstanding care in the form of comprehensive health benefits, a friendly, faith-based work environment, and plenty of opportunities to learn and grow. In addition to earning the Gallup Great Workplace Award six years in a row, we were also recognized as one of "150 Great Places to Work" by Becker's Hospital Review.
Our 224-bed hospital includes a medical ICU, cardiovascular ICU, PCU, open heart surgery center and behavioral health. In addition, we have accredited programs in orthopedics, chest pain, and inpatient diabetes, plus an award-winning emergency department.
Patient Experience:
Ensures that every patient has a documented and purposeful nurse leader round every day. Rounds by nurse assignment and provides immediate feedback to nurse after rounding.
Validates and holds staff accountable for purposeful hourly rounding.
Unit performance is measured through HCAHPS scores.
Unit Productivity Performance:
Acts as the charge nurse/nurse leader of the unit for each regular shift assigned.
Coordinates unit staffing for shift as described by staffing grid. Prevents overstaffing and over-shift overtime. Justifies on charge nurse staffing sheet any variance to staffing per grid for assigned shift.
Coordinates appropriate staff assignments for shift based upon patient acuity and staff competency.
Documents staffing for shift in the assignment books on each unit.
Gives feedback to the Director and/or House Supervisor on staffing of the unit. Assists with contacting staff for unit coverage as needed.
Explores and implements strategies to reduce productivity costs on the unit.
Human Resources:
Participates in peer interviews for potential new staff.
In collaboration with Director, conducts performance evaluations of staff assigned.
Gives suggestions and feedback to Director for corrective actions or recognition of their staff members.
Clinical and Quality Performance:
Every AM after bed tracking meeting, initiates huddle on the unit to form a team approach to care. Huddle includes a quick discussion of any topics brought forth in the bed tracking meeting, patient flow plan for the shift, staff concerns, patient concerns/needs, IPOC reminders, VTE documentation of interventions, pts at risk for falls, pts with pain not controlled, staff roles during a code blue, etc.
Ensures that staff have complete all required documentation including but not limited to Admission databases, Home medication lists, IPOCS, Vaccine and VTE assessments and interventions, Riskmasters, and medication PPID processes.
Is an active participant in shared governance including unit based counsel and the peer review processes.
Staff Education:
Contributes to the professional development of self, peers, colleagues and others by facilitating a positive orientation experience for our new employees through role modeling and the demonstration of our team oriented environment.
Acts as a super-user on the unit and assists staff with various computer application uses.
Assists staff in competency validation for unit based skills.
Ensures staff have the tools and equipment needed to do their job.
Ensures tools and equipment are working properly and notifies the appropriate parties when repair is needed.
Notifies Director of unit needs for next budget planning sessions.
Patient Flow:
Ensures and promotes efficiency through ED throughput initiatives with timely discharges, timely bed assignments, and timely admissions from the ED.
Promotes staff to utilize the one call process consistently.
When holding pts in the ED, works closely with Director, physicians, charge nurses, and house supervisor on discharges and status changes to provide adequate bed availability to the ED. Ensures these processes are continuously followed even if patients are not in hold status.
Other Responsibilities:
Assesses, develops, implements and evaluates a comprehensive plan of care through a multidisciplinary care team process in conjunction with the patient/family in internal and external settings.
Comprehensively assess patients' goals as well as their biophysical, psychosocial, environmental and discharge planning needs and financial status.
Procures services and advocates on behalf of the patient/family for scarce resources.
Works collaboratively with staff members involved in care of case managed population.
Seeks peer consultation regarding cases that present problems/significant variances.
Acts as a liaison to post-hospital care providers and community health resources.
Manages each patient transition through the system and transfers accountability to the appropriate person/agency upon discharge.
Recognizes and identifies life threatening situations, responding with immediate action according to protocol with no unjustified documented variances.
Demonstrates the skill and judgment necessary to implement physician orders, nursing interventions and procedures as necessary for the care of the patient to provide quality care.
Accurately administers medications, IV fluids and IV medication, blood and blood products according to physician's orders and nursing policy and procedure with no more than three (3) occurrences per year.
Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders and nursing policy and procedure with no more than three (3) documented occurrences per year.
Demonstrates knowledge of and administers accurately thrombolytic therapy as per hospital policy and procedure.
Observes, documents and reports patient's response to medications as evidenced in nurse's notes with no more than four (4) omissions per quarter.
Implements standing orders for Code Blue and life threatening dysrhythmia completely, competently, including management of airway, assisting intubation, performing counter shock, administering emergency medications, and directing code activities in the absence of a physician or in conjunction with a physician as evidenced by feedback from physicians, peers and direct observation with no documented concerns.
If applicable, administers and titrates inotropic/vasoactive infusions accurately per policy/procedure and standards.
If applicable, competently cares for a patient requiring hemodynamic monitoring including assisting with catheter insertion as per policy/procedure and accurately interpreting monitor strips and documentation, with less than one-two documented incidents per year as observed by charge nurse and director.
If applicable, competently care for a patient requiring mechanical ventilation as evidenced by functioning every one to two hours, maintaining patient airway, preventing accidental extubation, providing and documenting trach care every shift with no documented concerns.
If applicable, operates cardiac monitoring equipment competently and initiates and maintains continuous cardiac monitoring per unit policy 100% of the time.
If applicable, competently cares for a patient requiring temporary pacing, including assisting with temporary pacemaker insertion, according to policies and procedures as observed by charge nurse, director, feedback from peers with no documented concerns.
Correctly transcribes physician's orders and signs off appropriately after examining orders for clarity, completeness and accuracy with no more than four (4) documented occurrences per year.
Utilizes nursing judgment in implementing physician orders in a safe and conscientious manner, notifying appropriate supervisor immediately of any concerns.
Documents drug allergies 100% of the time upon patient admission.
Monitors lab data and diagnostic tests received on assigned patients.
Documentation includes evidence of appropriate patient/significant other teaching and their understanding of the instruction to assigned patient.
Verbal or written reports of providing, documentation of teaching and patient's response to other than those assigned.
Compassionately give personal patient care with consideration for physiological and psychosocial needs.
Consistently receives positive verbal or written reports or correspondence from concerned parties.
Effectively communicates accurate thorough patient information to peers and other health care workers as evidenced by evaluation of report or feedback from peers, supervisor and other health care workers.
When applicable, follows hospital protocol and physician orders regarding use of restraints.
Directs and collaborates with the multidisciplinary care team to ensure complete and appropriate individualization of the critical pathway, when critical pathways are available.
Develops a problem list on all patients based on the patients's current needs and implements appropriate critical pathway, when appropriate.
Facilitates and monitors use of critical pathway, when appropriate.
Establishes patient progress tracking methods through the system.
Develops and reviews standard critical pathways for each stage of illness.
Formulates with patient/family/multidisciplinary care team outcomes that are realistic and attainable.
Identifies patient variance from the critical pathway, when appropriate, and collaborates with multidisciplinary care team to identify plans for variance resolution.
Revises critical pathway based on variance analysis as appropriate and implements strategies to resolve them.
Coordinates collaborative multidisciplinary care team meetings.
Systematically evaluates the quality and effectiveness of patient care.
As appropriate, reviews all patient admission data within the designated time frames as established by policy to determine the suitability of the level of care.
Uses the results of quality of care activities to initiate changes through collaboration with associated disciplines as evidenced by multidisciplinary feedback.
Provides for clean and safe patient environment and well stocked nursing unit free of safety hazards by end of shift with no more than one (1) variance per month as identified by observation by peers and director with no more than two (2) documented concerns.
Maintains control of narcotics by correctly signing out and counting of medications and transferring keys to relief with no more than one (1) variance per year as identified by observations and/or documented concerns.
Adheres to patient charge system and documents in the patient's chart usage of supplies and equipment, procedures performed and care given.
Oversees and coordinates patient care delivered by the multidisciplinary care team.
Assesses and evaluates diagnostic testing and clinical procedures performed.
Identifies and monitors clinical risk issues.
Reports all variances to appropriate resources.
Communicates on an on-going basis between patient/family/medical staff/multidisciplinary care team and third-party payors as necessary.
Demonstrates knowledge of utilization of financial resources to obtain optimal reimbursement.
Relates utilization assessments needed to justify continued hospitalization.
Communicates with patients to ensure understanding of third-party payor guidelines and to arrange discharge planning referrals as ordered by physician.
Collaborates with appropriate resources for optimal reimbursement.
Formulates, implements and evaluates educational strategies for patient/family.
Educates patient/family regarding integrated case management and the roles of the multidisciplinary care team.
Facilitates for/provides necessary patient/education pre-admission, during length of hospital stay, and post-hospital discharge as indicated.
Educates patient/family regarding individualized critical pathway.
Contributes to an environment that is conclusive to clinical education of nursing students, as appropriate.
Uses interventions substantiated by research as appropriate to the individual's position/practice environment.
Conducts nursing practice on behalf of patient/family in an ethical manner.
Practices nursing as guided by the Code for Nurses.
Delivers care in a non-judgmental and nondiscriminatory manner that is sensitive to patient/family diversity.
Delivers care in a manner that preserves/protects client autonomy, dignity and rights.
Seeks available resources to help formulate ethical decisions.
Assigns tasks or delegates care based on the needs of the client and the knowledge and skill of the provider selected.
Evaluates own nursing practice in relation to professional practice standards and relevant statutes and regulations.
Engages in performance appraisal on a regular basis, identifying areas for professional/practice development.
Seeks constructive feedback regarding own practice.
Takes action to achieve personal goals identified during performance appraisal.
Associate remains flexible to changing systems, is expected to demonstrated quality and effectiveness in work habits and treat staff, physicians, patients and families with consideration and respect.
Understands the Computerized Physician Order entry process and proficiently uses the electronic medical record for retrieval of patient information.
Understands computer downtime procedures.
Monitors Electronic Medical Record for new physician orders and diagnostic results.
Real Time Scanning
Performs all other duties as assigned.
What you will need:
Skill and proficiency in applying highly technical principles, concepts and techniques which are central to the nursing profession and is normally acquired through completion of a BSN and/or MSN program
A minimum of three (3) years of recent experience in an acute care facility successfully demonstrating skills in assessing, planning, implementing, and evaluating patient care required
Experience in unit area specialty in the past two (2) years and one (1) year Management and/or Charge experience preferred
Clinical Pathway/ Clinical Ladder experience preferred.
Current licensure to practice as a Registered Nurse in the state of Texas or in a qualifying compact state
Maintains ACLS (and/or PALS if applicable to unit) certification.
Advanced Certification specific to the unit for which they manage is preferred
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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